2023
Prepectoral versus Submuscular Implant-Based Breast Reconstruction: A Matched-Pair Comparison of Outcomes
Talwar A, Lanni M, Ryan I, Kodali P, Bernstein E, McAuliffe P, Broach R, Serletti J, Butler P, Fosnot J. Prepectoral versus Submuscular Implant-Based Breast Reconstruction: A Matched-Pair Comparison of Outcomes. Plastic & Reconstructive Surgery 2023, 153: 281e-290e. PMID: 37159266, DOI: 10.1097/prs.0000000000010618.Peer-Reviewed Original ResearchBreast reconstructionPrepectoral ImplantSecondary reconstructionSubmuscular reconstructionClinical outcomesSubmuscular implantsCapsular contracturePrepectoral reconstructionImplant-based breast reconstructionSurgical site infectionLarge academic medical centerSurgical site occurrenceAcademic medical centerMean followDeep infectionSite infectionNegative infectionsPostoperative differencesAntibiotic managementAnimation deformityMedical CenterCohort analysisExplantationInfectionPropensity score
2022
Racial and Ethnic Disparities in Surgical Outcomes after Postmastectomy Breast Reconstruction.
Sarver MM, Rames JD, Ren Y, Greenup RA, Shammas RL, Hwang ES, Hollenbeck ST, Hyslop T, Butler PD, Fayanju OM. Racial and Ethnic Disparities in Surgical Outcomes after Postmastectomy Breast Reconstruction. Journal Of The American College Of Surgeons 2022, 234: 760-771. PMID: 35426388, PMCID: PMC9347225, DOI: 10.1097/xcs.0000000000000143.Peer-Reviewed Original ResearchConceptsLength of stayLonger LOSPostmastectomy breast reconstructionPostoperative complicationsWhite womenBreast reconstructionBreast cancerNational Inpatient Sample databasePost-mastectomy reconstructionType of reconstructionRace/ethnicityPerioperative comorbiditiesPreoperative comorbiditiesComorbidity scorePerioperative complicationsPerioperative factorsPatient demographicsPerioperative outcomesSurgical complicationsComorbid conditionsSurgical outcomesPostmastectomy reconstructionMicrosurgical complicationsPrimary careAutologous reconstruction
2021
Persistent Disparities in Postmastectomy Breast Reconstruction and Strategies for Mitigation
Butler PD, Morris MP, Momoh AO. Persistent Disparities in Postmastectomy Breast Reconstruction and Strategies for Mitigation. Annals Of Surgical Oncology 2021, 28: 6099-6108. PMID: 34287788, DOI: 10.1245/s10434-021-10487-z.Peer-Reviewed Original ResearchConceptsAfrican American womenPostmastectomy breast reconstructionBreast reconstructionReconstructive optionsBreast cancer care continuumAmerican womenRacial disparitiesPhysician referral patternsMore risk factorsStandard of careCancer care continuumBreast reconstruction ratesRacial differencesPersistent racial disparitiesPatient comorbiditiesClinical outcomesReferral patternsPatient knowledgeRisk factorsCare continuumSocial determinantsWhite womenDecision-making satisfactionWomenPersistent disparities
2020
Post-mastectomy breast reconstruction: reducing the disparity through educational outreach to the underserved
Familusi O, Rios-Diaz AJ, Tilahun ED, Cunning JR, Broach RB, Brooks AD, Guerra CE, Butler PD. Post-mastectomy breast reconstruction: reducing the disparity through educational outreach to the underserved. Supportive Care In Cancer 2020, 29: 1055-1063. PMID: 32592032, DOI: 10.1007/s00520-020-05589-5.Peer-Reviewed Original ResearchConceptsBreast cancer careCancer careBreast reconstructionUnderserved populationsBreast reconstruction optionsEducational symposiumBreast cancer conceptsMedian ageSurgical managementBreast healthCancer screeningHealth literacyPatient testimonialsConclusionThis studyReconstruction optionsGreater Philadelphia areaEthnic disparitiesSurvey scoresCancer conceptsCareUnderserved communitiesCommunity awarenessPhysiciansCommunity outreachEducational outreach
2019
Finishing Touches: Expanding Access to Nipple-areola Tattooing as a Component of Postmastectomy Breast Reconstruction
Butler PD, Plana NM, Hastings AL. Finishing Touches: Expanding Access to Nipple-areola Tattooing as a Component of Postmastectomy Breast Reconstruction. Plastic & Reconstructive Surgery Global Open 2019, 7: e2558. PMID: 31942320, PMCID: PMC6908362, DOI: 10.1097/gox.0000000000002558.Peer-Reviewed Original Research
2017
Influence of race, insurance status, and geographic access to plastic surgeons on immediate breast reconstruction rates
Butler PD, Familusi O, Serletti JM, Fox JP. Influence of race, insurance status, and geographic access to plastic surgeons on immediate breast reconstruction rates. The American Journal Of Surgery 2017, 215: 987-994. PMID: 29103529, DOI: 10.1016/j.amjsurg.2017.09.037.Peer-Reviewed Original ResearchConceptsImmediate breast reconstructionIBR ratesCaucasian womenImmediate breast reconstruction ratesAmbulatory surgery dataBreast reconstruction ratesPlastic surgeon densityFinal cohortInsurance statusBreast reconstructionBreast cancerLargest absolute increaseHealth servicesSurgeon densitySurgery dataAdult womenPublic insuranceStatus subgroupsPrivate insuranceGeographic accessAsian womenAbsolute increasePlastic surgeonsWomenInfluence of raceThe Relationship Between Geographic Access to Plastic Surgeons and Breast Reconstruction Rates Among Women Undergoing Mastectomy for Cancer
Bauder AR, Gross CP, Killelea BK, Butler PD, Kovach SJ, Fox JP. The Relationship Between Geographic Access to Plastic Surgeons and Breast Reconstruction Rates Among Women Undergoing Mastectomy for Cancer. Annals Of Plastic Surgery 2017, 78: 324-329. PMID: 28177978, DOI: 10.1097/sap.0000000000000849.Peer-Reviewed Original ResearchConceptsBreast reconstruction ratesPlastic surgeon densityBreast reconstructionSurgeon densityGeographic accessPlastic surgeonsHealth service area (HSA) levelAmbulatory surgery dataAppropriate clinical expertiseNational health care policyReconstruction rateHealth care policyFinal cohortInsurance statusPostmastectomy reconstructionBreast cancerClinical expertiseSurgery dataAdult womenMastectomyDensity areasRacial disparitiesSurgeonsCare policyWomen
2015
Racial and age disparities persist in immediate breast reconstruction: an updated analysis of 48,564 patients from the 2005 to 2011 American College of Surgeons National Surgery Quality Improvement Program data sets
Butler PD, Nelson JA, Fischer JP, Wink JD, Chang B, Fosnot J, Wu LC, Serletti JM. Racial and age disparities persist in immediate breast reconstruction: an updated analysis of 48,564 patients from the 2005 to 2011 American College of Surgeons National Surgery Quality Improvement Program data sets. The American Journal Of Surgery 2015, 212: 96-101. PMID: 26545345, DOI: 10.1016/j.amjsurg.2015.08.025.Peer-Reviewed Original ResearchConceptsSurgical complication rateNon-Caucasian raceAmerican CollegeComplication rateDiabetes mellitusOlder ageImmediate breast reconstruction ratesImmediate breast reconstructionMultivariate logistic regressionBreast reconstruction ratesLack of associationProgram data setCurrent smokingPatient comorbiditiesSurgical morbidityComorbid conditionsBreast reconstructionCardiovascular diseaseOlder womenLogistic regressionStudy periodAge disparitiesMellitusMastectomyPatientsRacial and age disparities persist in immediate breast reconstruction: an updated analysis of 48,564 patients from the 2005-2011 American College of Surgeons NSQIP datasets
Butler P, Nelson J, Fischer J, Wink J, Chang B, Fosnot J, Wu L, Serletti J. Racial and age disparities persist in immediate breast reconstruction: an updated analysis of 48,564 patients from the 2005-2011 American College of Surgeons NSQIP datasets. Journal Of The American College Of Surgeons 2015, 221: e122. DOI: 10.1016/j.jamcollsurg.2015.08.225.Peer-Reviewed Original ResearchAbdominal perforator vs. muscle sparing flaps for breast reconstruction
Butler PD, Wu LC. Abdominal perforator vs. muscle sparing flaps for breast reconstruction. Gland Surgery 2015, 4: 21221-21221. PMID: 26161306, PMCID: PMC4461709, DOI: 10.3978/j.issn.2227-684x.2015.03.08.Peer-Reviewed Original ResearchDeep inferior epigastric artery perforatorBreast reconstructionFree Transverse Rectus Abdominis MyocutaneousSuperficial inferior epigastric artery flapAbdominal donor-site morbidityTransverse rectus abdominis myocutaneousAdjuvant radiation treatmentCo-morbid conditionsFlap success rateAbdominal donor siteDonor site morbidityHospital lengthOperative timeReconstructed breastsAbdominal perforatorsArtery perforatorArtery flapFree flapSite morbidityOwn tissuesRadiation treatmentSuccess rateFlapDonor siteMorbidity
2014
African-American women have equivalent outcomes following autologous free flap breast reconstruction despite greater preoperative risk factors
Butler PD, Nelson JA, Fischer JP, Chang B, Kanchwala S, Wu LC, Serletti JM. African-American women have equivalent outcomes following autologous free flap breast reconstruction despite greater preoperative risk factors. The American Journal Of Surgery 2014, 209: 589-596. PMID: 25576165, DOI: 10.1016/j.amjsurg.2014.11.002.Peer-Reviewed Original ResearchConceptsPreoperative risk factorsAutologous breast reconstructionBreast cancer patientsBreast reconstructionRisk factorsCancer patientsAfrican American breast cancer patientsAutologous free flap breast reconstructionFemale breast cancer patientsFree flap breast reconstructionFlap breast reconstructionAfrican American patientsBreast cancer treatmentAutologous tissue transferAfrican American womenPreoperative comorbiditiesPostoperative complicationsPostoperative morbidityPreoperative characteristicsClinical outcomesSingle institutionCaucasian patientsEquivalent outcomesHealthcare disparitiesPatientsDespite elevated preoperative risk factors, equivalent outcomes for autologous breast reconstruction in African American women
Butler P, Nelson J, Fischer J, Chang B, Serletti J, Wu L. Despite elevated preoperative risk factors, equivalent outcomes for autologous breast reconstruction in African American women. Journal Of The American College Of Surgeons 2014, 219: e153. DOI: 10.1016/j.jamcollsurg.2014.07.797.Peer-Reviewed Original Research